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围绝经期女性性功能障碍风险的预测因素:基于人群的研究。

Predictive Factors for the Risk of Sexual Dysfunction in Climacteric Women: Population-based Study.

机构信息

Department of Applied Physiotherapy, Institute of Health Sciences, UFTM. Student of the Graduate Program in Associative Physiotherapy UFTM/UFU, Uberaba MG, Brazil.

Department of Applied Physiotherapy, Institute of Health Sciences, UFTM. Uberaba MG, Brazil.

出版信息

J Sex Med. 2022 Oct;19(10):1546-1552. doi: 10.1016/j.jsxm.2022.06.019. Epub 2022 Aug 3.

DOI:10.1016/j.jsxm.2022.06.019
PMID:35931606
Abstract

BACKGROUND

It is known that sexual problems increase with age but little is known about the predictors of female sexual dysfunction (FSD) in Brazilian climacteric women.

AIM

To identify predictive factors for FSD in climacteric women.

METHODS

This is a cross-sectional population-based study carried out through a household survey.

OUTCOMES

The measures investigated were sociodemographic characteristics, depressive symptoms, level of physical activity, presence of FSD, self-rated health and sleep satisfaction.

RESULT

A total of 381 climacteric, sexually active women were included, with a mean age of 55.04 (±7.21) years. The prevalence of FSD was 38.3%. All variables investigated were associated with FSD (P < .05). In the final model, the predictors for FSD were low satisfaction with sleep (OR 4.20; 95% CI 2.32-7.62), advanced age (OR 1.04; 95% CI 1.00-1.08), low education level (OR 0.90; 95% CI 0.85-0.97) and having a partner (OR 0.35; 95% CI 0.16-0.76).

CLINICAL IMPLICATION

These aspects deserve attention from the health team to prevent and identify FSD early in life in climacteric women.

STRENGTHS & LIMITATIONS: This study support existing data about risk factors for FSD in climacteric women. However, it is not possible to attribute causality to any of the correlates identified, which is a limitation of cross-sectional studies.

CONCLUSION

Dissatisfaction with sleep, senility, insufficient income, low education, not having a partner, complaints of depression, and the worse perception of global health are predictive factors for FSD in climacteric women. Romano Marquez Reis SC, Martins Pinto J, Aparecida Porcatti de Walsh I, et al. Predictive Factors for the Risk of Sexual Dysfunction in Climacteric Women: Population-based Study. J Sex Med 2022;19:1546-1552.

摘要

背景

已知性问题会随年龄增长而增加,但对于巴西绝经期女性性功能障碍(FSD)的预测因素知之甚少。

目的

确定绝经期女性 FSD 的预测因素。

方法

这是一项通过家庭调查进行的横断面基于人群的研究。

结果

共纳入 381 名活跃的绝经期女性,平均年龄为 55.04(±7.21)岁。FSD 的患病率为 38.3%。所有调查的变量均与 FSD 相关(P<0.05)。在最终模型中,FSD 的预测因素为睡眠满意度低(OR 4.20;95%CI 2.32-7.62)、年龄较大(OR 1.04;95%CI 1.00-1.08)、教育程度较低(OR 0.90;95%CI 0.85-0.97)和有伴侣(OR 0.35;95%CI 0.16-0.76)。

临床意义

这些方面值得医疗团队关注,以便在绝经期女性的生活中及早预防和识别 FSD。

优势与局限性

本研究支持了关于绝经期女性 FSD 危险因素的现有数据。然而,由于横断面研究的局限性,无法将任何相关性归因于因果关系。

结论

睡眠不满、衰老、收入不足、教育程度低、没有伴侣、抑郁抱怨以及对整体健康状况的较差感知是绝经期女性 FSD 的预测因素。

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